C15.3
C15.3 — Malignant neoplasm of upper third of esophagus
Billable / specific codeICD-10-CM
C15.3 is a billable, specific ICD-10-CM code for malignant neoplasm of upper third of esophagus. It is valid for submission on a claim.
Risk adjustment
C15.3 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 20 Lung and Other Severe Cancers1.136 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
C15.3 is named in 66 Medicare coverage policies — 66 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52450Billing and Coding: Paclitaxel (e.g., Taxol®/Abraxane ™)
- A52479Oral Anticancer Drugs - Policy Article
- A52479Oral Anticancer Drugs - Policy Article
- A52479Oral Anticancer Drugs - Policy Article
Related codes at this level
Codes that share C15. If C15.3 is not quite right, the correct code is usually one of these.
Questions about C15.3
- Is C15.3 a billable ICD-10-CM code?
- Yes. C15.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does C15.3 sit in the tabular list?
- Neoplasms (C00-D49), in the block Malignant neoplasms of digestive organs (C15-C26).